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Individual

DR. ANDREW DEAN PAPENDIECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
651 SUNDOWN LANE, AUSTIN, TX 78669
(512) 677-9013
Mailing address
120 BARTON RANCH CIR, DRIPPING SPRINGS, TX 78620-3750
(512) 415-8405
(512) 675-2090

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10992605-1205
UT
207Q00000X
Family Medicine Physician
68000-020
WI
207Q00000X
Family Medicine Physician
68000-20
WI
207Q00000X
Family Medicine Physician
BP10054213
TX
207Q00000X
Family Medicine Physician
DR.0061334
CO
207Q00000X
Family Medicine Physician
Primary
R3932
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100095277
WI
01
678385
MEDICARE
TX
Enumeration date
06/16/2015
Last updated
06/08/2022
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